Individual
STEPHANIE LYNN WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
260 MILL CREEK RD, MOUNTAIN CITY, TN 37683-6555
(423) 440-9444
Mailing address
260 MILL CREEK RD, MOUNTAIN CITY, TN 37683-6555
(423) 440-9444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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